World Class Care. ., Anytime, Ajiywhere
January 4, 2008
Inside this Issue:
Yokosuka Labor, Delivery Staff
Trains on New Birth System
Fighting to Save Lives
'Damage Control' Surgeries and
Items of Interest:
You Can Quit Smoking! Make 2008
the year you or someone close to you
quits smoking. Smoking harms nearly
every organ of the body, causing many
diseases and reducing the health of
smokers in general. Quitting smoking
has immediate as well as long-term h
benefits for you and your loved ones. H
You CAN quit smoking. The following
information may be helpful to your ef-
forts. If you're looking to quit, we en-
courage you to contact 1-800-QUIT-
NOW or www.smokefree.gov for addi-
tional support. You are NOT alone:
• In 2005, 45. 1 million adults (20.9
percent) in the U.S. were current
smokers — 23.9 percent of men and
18.1 percent of women. An esti-
mated 70 percent of these smokers
said they wanted to quit.
• An estimated 19.2 million (42.5
percent) adult everyday smokers in
2005 had stopped smoking for at
least 1 day during the preceding 12
months because they were trying to
Navy and Marine
Corps Medical News
A Public Affairs Publication of the Bureau of Medicine and Surgery
Bush Vows Support for Wounded
Troops, Addresses Iran Threat
By Donna Miles, American Forces
WASHINGTON - America's
wounded troops are getting the
best medical care possible, and the
country is committed to ensuring
the bureaucratic system serves
them equally well, President Bush
said today in Fredericksburg, Va.
Speaking to the Rotary Club of
Stafford, Va., the president also
told a questioner that Iran remains
a threat to peace and needs to sus-
pend its uranium-enrichment activi-
Bush told the Rotarians he feels
"a particular sense of obligation to
make sure that the man or woman
I've sent into combat gets the very
best care possible."
He called the doctors and nurses
providing military health care
"fabulous," noting that "the health
care these troops are getting is ex-
cellent, no ands, ifs or buts about
"I can look the parents ...and
loved ones of the troops in their
eyes and say, 'Your kid's going to
get fabulous health care, and they
deserve it,'" he said.
The president conceded that
problems like those that surfaced in
February at Walter Reed Army
Medical Center here detract from
this care and said they won't be
tolerated. Bush called the Walter
Reed situation "a bureaucratic foul-
( Continued on page 3)
PACIFIC - Laura Montero 14, from Albion, III., center, rests comfortably in the medical ward
aboard the aircraft carrier USS Ronald Reagan (CVN 76) following an emergency appendectomy
performed by the ship's surgeon. Laura was medically evacuated (MEDEVAC) by an HH-60H Sea-
hawk from Helicopter Anti-Submarine Warfare Squadron Four (HS) 4 on Dec. 15, 2007, after she
suffered a ruptured appendix while vacationing aboard the Dawn Princess cruise ship off the
coast of Baja, Mexico. Laura's mother Trudy Lafield, center-left, was later flown to the ship and
reunited with her daughter. U.S. Navy photo
Yokosuka Labor, Delivery Staff Trains on New Birth System
By Mass Communication Specialist 2nd Class Chantel M.
Clayton, Fleet Public Affairs Center Det. Japan
YOKOSUKA, Japan - The labor and delivery staff
at the U.S. Naval Hospital Yokosuka, Japan had the op-
portunity to practice their delivery and life-saving skills
on a new simulator Dec. 19.
The hospital trained on "Noelle," a labor and resus-
citation mannequin, which enables labor and delivery
staff to practice deliveries without a live patient.
According to Lt. Aaron C. Myers, a labor and deliv-
ery nurse at the hospital, Noelle can simulate almost
anything and give the staff a true- to-life training ex-
"It's a labor simulator with a motorized mechanism
that makes the birth actually happen," said Myers. "It
also has two interactive monitors that I can program
using a remote laptop for different scenarios, then
there's another baby where we can practice resuscita-
Myers says the scenarios during the training experi-
ence are real, making the training more effective.
"We can simulate vaginal deliveries and c-sections
Fighting to Save Lives
with this model," said Myers. "We can simulate heart-rate
tracings, vital signs, and can also simulate cardiac arrest
functions, to go along with CPR on the model. We can do
the same with the baby. We can simulate giving medica-
tions and starting IVs on the baby."
According to Myers, the hospital purchased the system
about a month ago for about $20,000. The labor and de-
livery staff plans to use this training system often.
"We plan to do the training once a month, but also
make the training available for whenever things around
here are slow," said Myers. "When we're not actually de-
livering babies we can train to deliver babies."
The labor and delivery staff benefited from the training
and value the hands-on experience.
"It was a really good training experience," said Amylisa
Myers, a labor and delivery nurse at the hospital. "Usually
when we do drills we talk through the process. With this
we have a room where we can move around and it mimics
the experience of a true delivery, versus talking through it.
It makes it more real. I've never experienced training like
this. I've been doing this for six years, and wished this
were around during my first time in labor and delivery."
By Marine 2nd Lt. Tyson Alexander
and 2nd Lt. Sarah Lane of Marine
Aviation Training Support Group 21
and Rod Duren, Naval Hospital Pen-
sacola Public Affairs
PENSACOLA, Fla. - More than
62 years ago, a Navy pharmacist
mate -- forerunner of today's hospi-
tal corpsman -- was the lone Sailor
among a handful of Marines made
famous by Associated Press photog-
rapher Joe Rosenthal's Pulitzer
Prize-winning "Flag Raising on
Most people are familiar with
the famous photograph taken on
the island of I wo J ima in February
1945 leading up to the end of World
War II. The photo has become
iconic, and as such can be found in
a variety of places including as the
model for the U.S. Marine Corps
War Memorial in Washington, D.C.
But Pharmacist Mate 2nd Class
John 'Doc' Bradley's greatest contri-
bution to the Navy-Marine Corps
team may have come just a few
days before to the flag- raising
photo when his actions in combat
earned him the Navy Cross.
Bradley, who was with the 5th
Marine Division's 28th Marine Regi-
ment, saved countless lives during
a furious assault on a strongly de-
fended enemy position at the base
of Mount Suribachi.
According to the citation, Brad-
ley observed a wounded Marine in
an open area under a barrage of
mortars and machine-gun crossfire.
"With complete disregard for his
own safety, he ran through the in-
tense fire to the side of the fallen
Marine ... tied a plasma unit to a
rifle planted upright in the sand ...
and continued his life-saving mis-
The Marine's wounds bandaged
and the condition of shock relieved
by the plasma, Bradley pulled the
man 30 yards through intense en-
emy fire to a position of safety.
Today, Navy corpsmen still will-
ingly put themselves in harm's way
in order to save their comrades on
A Fleet Marine Force (FMF)
corpsman assigned to a Marine Ex-
peditionary Unit during the Battle of
Fallujah in the fall of 2004 embod-
ied the same courage as Bradley.
"As the shooting began, and
wounded began to filter in ...you
just never know when (or how)
you'll react. I was thinking, 'I'm
(only) 19 years old (and have)
these Marines' lives, both young
and old, in my hands," said Hospital
Corpsman 3rd Class Courtney
General Surgeon Cmdr. Lach
Noyes, while in Fallujah on a sec-
ond Operation Iraqi Freedom tour,
said the care being provided by
these young "grunt corpsmen,"
some fresh out of hospital corps
school, to Marine combat units is
"exceptional ... [they're doing] out-
Noyes said Marines are confi-
dent that the Navy medical system
will get them the best possible care.
Specialty training is crucial for
FMF corpsmen. It's above and be-
yond the training given to general
duty corpsmen. The average FMF
corpsman or "Devil Doc," as Ma-
rines affectionately refer to them,
has attended Hospital Corps School
and completed an intense 8-week
course at the Field Medical Service
School at Camp Lejeune, N.C.
In addition, FMF corpsmen at-
tend a 10-day course in operational
emergency medicine where they
get hands-on training and the op-
portunity to treat different combat
(Continued on page 4)
'Damage Contror Surgeries and Medevacs
By Marine 2nd Lt. Tyson Alexander
and 2nd Lt. Sarah Lane of Marine
Aviation Training Support Group 21,
and Rod Duren, Naval Hospital Pen-
PENSACOLA - Critical Care
Nurse, Lt. Cmdr. Brent Lynn has
been in the U.S. Navy more than 19
years - nine as an enlisted hospital
corpsman, but nnost of that time
was spent with the Marine Corps on
But little of it would compare to
the 'miraculous' feats of combat
surgical care provided in Iraq.
Due to logistical and austere
medical conditions that combat can
produce, Navy nurses, surgeons
and corpsmen, have learned les-
sons from, and with, the Marine
Corps when it comes to adapting
Two of those Navy Medicine per-
sonnel. Navy Nurse Lt. Cmdr. Brent
Lynn, and Navy Surgeon, Cmdr.
Lach Noyes, along with another 100
currently deployed in Iraq, Afghani-
stan and Kuwait are among the
staff at Naval Hospital Pensacola.
It is all of their positive attitudes
and tireless work-ethic that enable
them to rise above the harshest of
conditions, and the most severe
injuries, to once again, bind the
Navy-Marine Corps team in an op-
erational setting across the globe.
Corpsmen have one of the most
important jobs on the battlefield.
When Marines are engaging insur-
gents, and being shot at, it's the
corpsman that runs through fire to
aid the injured Marine. With little
regard for their own skin, corpsmen
act as angels for mercy on the bat-
tlefield, helping as many of "their"
Marines as possible.
Once a corpsman has done the
best to stabilize the injured, the
next phase of saving a Marine's life
is putting him into the hands of
Navy doctors and nurses as quickly
as possible for more definitive care.
These lifesavers are typically
located a few miles behind the front
lines. Navy doctors and nurses work
long hours under stressful condi-
tions and with minimal resources
due to the combat environment.
Lynn was the only critical care
nurse assigned to the FRSS team,
located about 10 miles from the
Syrian border. There were two op-
erating room technician corpsmen,
two general-duty corpsmen and two
Everyone's skills were put to the
test in one instance, when the
medevac helo pilot was wounded
when a bullet ricocheted, impacting
Despite the wound, the pilot
flew the helicopter to the FRSS.
Once on the ground everyone
rushed to treat the wounded in the
back of the helicopter. Yet, nobody
had a clue to the casualty in the
When the pilot stepped out of
the helicopter, "Everyone stops ...
and stares in disbelief," said Lynn.
The pilot "didn't have a face. I don't
know how he picked up the
wounded; and flew into Al Qa'im.
"The intestinal fortitude of that
pilot to fly those wounded while he
was (likely) dying was the most
amazing thing I'd ever witnessed,"
said Lynn, "until we got him into
Lynn provided fluid resuscitation
and was "pushing lots of fluid and
blood rapidly" to the patient while
assisting anesthesiology with sur-
Surgery began with putting the
patient's face back together.
"If it hadn't been for the sur-
geon and anesthesiologist, he
would have died right then and
there," Lynn said. "It was miracu-
A year later, Lynn says, he
heard this same pilot was "learning
to speak and eat again; and was
In another area of Iraq, Cmdr.
Lach Noyes, who had served at the
outset of Operation Iraqi Freedom
(Continued on page 5)
(Continued from page 1)
up" and noted that Defense Secretary Robert M. Gates
moved to fix the situation quickly. "That should show
you our intensity in making sure that our troops get the
very best care," he said.
Bush said he and first lady Laura Bush will visit both
Walter Reed and the National Naval Medical Center, in
Bethesda, Md., later this week. They'll visit for two rea-
sons, he said: "One, to tell those troops we love them,
and two, to tell those docs and nurses who are working
overtime to give them fabulous care this country appre-
ciates what they're doing."
Moving to questions about Iran, Bush pointed to the
recent national intelligence estimate as proof that "Iran
was a threat, Iran is a threat to peace, and Iran will be a
threat to peace if we don't stop their enrichment facili-
If Iran were able to produce a nuclear weapon, it
would be a highly destabilizing force in the region. Bush
said. He noted Iran's threats to wipe out Israel as an ex-
Iran owes the world an explanation about its sus-
pended nuclear program. Bush said. "They need to make
it clear to the international organization, the
(International Atomic Energy Agency), what the program
was all about and why they hid it from the world," he
Meanwhile, Bush pledged that the United States will
continue working with its friends and allies to apply diplo-
matic pressure aimed at convincing Iran to suspend its
He noted that Russia is in the process of sending en-
riched uranium to Iran for use in its civilian nuclear reac-
tor. "If the Russians are willing to do that ... (and) the
Iranians accept that uranium for a civilian nuclear power
plant, then there's no need for them to learn how to en-
rich," he said.
(Continued from page 2)
wounds. Every corpsman is taught how to treat injuries
ranging from routine to catastrophic. The priority is to
stabilize injured Marines for medical evacuation.
The priority is to "stop the bleeding and control intes-
tinal spillage," said Noyes, who works at Naval Hospital
The corpsman's first duty is to treat his Marines' com-
bat injuries, but they can also be called upon to provide
humanitarian assistance to the local populace.
Marines will do anything they can to protect "their"
corpsman. Marines think so highly of them they will form
an inverted "V" while patrolling the streets with a "Doc"
located in the center - the most protected part of the for-
Additionally, the Marines teach the corpsmen to be
active members of the infantry unit. This includes practic-
ing patrolling and weapons-handling.
While Marines teach their corpsmen the basic skills of
an infantryman, the corpsman educates the Marines on
self-aid and buddy-aid techniques.
This is important because a corpsman cannot be eve-
rywhere at once. If multiple casualties are taken, "Doc"
needs the Marines to be able to react and provide medical
attention to their own until he can get to them.
Prior to being deployed, the Marines go through a
course called "Combat Lifesaver." Certified corpsmen
cover different topics which relate to the combat environ-
ment. The five-day course gives Marines a chance to
practice inserting IV's, applying bandages and splinting
The medical treatment of wounded Marines is one of
the most important areas in which the Navy supports the
With today's technology, if a Marine can be stabilized
and taken to a major medical unit within the "golden
hour," it dramatically improves the chances of their sur-
vival. The responsibility for treating these combat
wounded Marines falls on both the corpsman and Marines
still in the fight.
Pensacola is home to a number of Navy corpsmen and
Marines that have recently returned from combat tours in
Iraq including two FMF corpsmen. Seals and Hospital
Corpsman 2nd Class Felix Colon, both assigned to the
Naval Branch Health Clinic at the Center for Information
Dominance on Corry Station.
The Marines are represented by a decorated group of
Leathernecks including Staff Sgt. Markeith Williams, a
Combat Action Ribbon recipient and platoon sergeant
with the 31st Marine Expeditionary Unit who is currently
assigned to Marine Aviation Training Support Group 21
aboard Naval Air Station, Pensacola.
Colon, a 7-year Navy veteran and a recent selection
as Naval Hospital Pensacola J unior Sailor of the Year, was
assigned to the 2nd Battalion, 6th Marines in Fallujah,
Iraq, during Operation Iraqi Freedom in 2005-2006. The
experiences he came away with range from treating the
injured to training the Iraqi Army how to patrol, execute
weapons searches and conduct vehicle check points.
"We find ourselves right beside them and ensure that
we will take care of them," said Colon. "The Navy-Marine
Corps team manages to accomplish many things to-
gether. They have their mission and we have our mission
The Navy-Marine Corps team showed their profiles in
courage and valor in combat by routing-out inner city
insurgents from Fallujah.
Seals said, "All of that pre-training finally came into
use. We reacted like it was second nature. I don't know
how to explain it. It's like I was just watching myself
perform and I was like '...huh, yep ..that's it nice and
easy.' All the time I sat in corps school and Field Medical
Service School and I never in a million years thought
that I would have a life in my hands. All of the training
comes together when placed in a combat situation."
Williams was a platoon sergeant during Operation
Phantom Fury in Fallujah, from October 2004 to February
"The relationship between the corpsmen and the Ma-
rines is probably the closest relationship there is in the
military," said Williams. "Our corpsmen responded im-
mediately to medical emergencies and their performance
was outstanding. I remember one time specifically that
we were receiving heavy mortar and RPG fire, when we
were suddenly hit by an I ED.
"Without hesitation, our corpsman triaged the injured
Marines, he put them in our AAV's, and without missing
a beat grabbed a bunch of ammo and began supplying it
to the machine gun section. He reacted better than even
some of my Marines did under fire. Our doc was always
On another occasion, Williams witnessed a corpsman
save a Marine from being killed by a sniper. The Marine
was patrolling with his unit when they took heavy enemy
fire. The unit went into an adjacent building for cover
and continued fighting.
One Marine was providing security at the front door
of the building when he was hit by sniper fire, which re-
sulted in him falling into the street. Instantly, the corps-
man ran over and grabbed the Marine and pulled him
back into the building.
In doing so, the corpsman was shot and killed by the
sniper, but not before he had pulled the injured Marine
out of harm's way.
This is one of countless stories of the service mem-
bers' dedication to each other and the mission. It is a
brotherhood and bond that lasts the rest of their lives.
The Marine's job is to destroy the enemy and accom-
plish the mission, and the corpsman's job is to do every-
thing he can to help Marines accomplish that mission,
whether it is providing medical care, assisting on a pa-
trol, or calling for close air support.
The corpsman is a jack-of-all-trades when it comes to
his battlefield assignment. The symbolism of the Navy
corpsman wearing the Marine Corps' MARPAT utility uni-
form in combat is an outstanding example of how Ma-
rines view corpsmen -- as one of their own.
January 4, 200i
YOKOSUKA, Japan - Hospitalman Nicholas Ullrich performs artificial ventilation on a
baby mannequin during a training evolution at the U.S. Naval Hospital Yokosuka, Ja-
pan, Dec. 19, 2007. The hospital received a $20,000 labor and delivery training sys-
tem, complete with a mannequin capable of delivering a baby. The labor and delivery
staff can practice their skills on mannequins and be more prepared for real childbirth.
U.S. Navy photo by Mass Communication Specialist 2nd Class Chantel M. Clayton
Damage Control' continued...
(Continued from page 3)
with Fleet Hospital 3 -- the Navy's
first Expeditionary Medical Facility
to set up shop in a combat zone -
came back for a repeat perform-
ance with the Marines for the Battle
of Fallujah in 2005.
"There's a military-medical ne-
cessity that saves lives called dam-
age-control surgery," said Noyes.
"In a forward deployed area
close to the combat, among a sur-
geon's first obligations is to stop
the bleeding and control intestinal
spillage ...deferring definitive sur-
gery to a higher echelon of care."
The forward- placed surgeons
rarely get to see the intermediate
or end-result-care of a "damage
control surgery" patient.
"It's frustrating sometimes," the
Pensacola surgeon said, "but it
"They're realists," said Noyes, of
the Marines in Fallujah, where he
served with the Bravo Surgical
World Class Care. . .Anytime, Anywhere
Bureau of Medicine and Surgery
2300 E Street NW
Washington, DC 20372-5300
Public Affairs Office
"They know, with confidence,
that if they get wounded, the
(Navy) medical system will provide
them with the best possible care ...
and it starts with those 'grunt
corpsmen' at the unit-level for
which I have an awful lot of re-
spect," he said.
Cpl. Joshua Wilding is one of
many Marines who benefited from
the lifesaving skills of these doctors
and nurses. On Aug. 12, 2006,
while searching and sweeping for
I ED'S with his combat engineer
unit. Wilding and several members
of his squad were hit by one of the
exploding devices. This resulted in
several Marine and Iraqi-national
Wilding received shrapnel to his
face and hip from the blast and lost
the middle finger on his left hand.
The skill and expertise of the
medical personnel ensured Wilding
would be returned home safely and
be able to live a healthy and normal
"They were good, fast and knew
exactly what to do," said Wilding.
"They got me bandaged up and I
was on my way."
The corporal traveled from Iraq
to Germany and finally to Bethesda,
Md., as part of his recuperative
journey. His family was flown to
Maryland at the Marine Corps' ex-
pense to see him.
Wilding said that the doctors
taking care of the Marines were do-
ing everything they could to make
them happy and their care was ex-
"There were a number of
wounded Marines; and everyone
made sure they were taken care of.
He received service immediately
with no waiting," Wilding said, "I
had a Senior Chief just take over
any time I came across any prob-
When asked how the loss of his
finger affected his lifestyle. Wilding
said that he could still hunt, fish,
shoot his rifle and play golf.
According to Lt. Col. Jeffery
Chesney, the Commanding Officer
of Training Wing Five at NAS Whit-
ing Field, the Navy-Marine Corps
team is doing a terrific job of taking
care of injured Marines both on de-
ployment and here at home.
"The docs are always around us
in the squadron, no one is better
than the docs ... you do anything
you can for them.
"They become Marines," said
Chesney. "You'll find that the guys
(Fleet Marine Force Navy corpsmen)
who spend time with the Marines
stay with the Marines."
The Navy-Marine Corps team is
taking care of their wounded better
than any other service, he said, on
both the medical and administrative
These Marines are getting state-
of-the-art care at hospitals like
Landstuhl (in Germany) that often
would be difficult to acquire in the
states. These combat hospitals use
cutting edge technology to save
Marines lives and improve their
quality of life after they have been
Got News? If you'd like to submit an article or have an idea for one,